P&a RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY30972 Issued in CA

Legal business name

P&A RX INC

Doing business as

Koryo Pharmacy

Practice address

2727 W Olympic Blvd
Ste 103
Los Angeles, CA 90006-2637

Phone

(213) 738-6970

Fax

(213) 738-0152

NPI assigned

Aug 10, 2006

Last updated

Dec 20, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hyomin Angela Kim

Title

Ceo

Phone

(213) 738-6970

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Koryo Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hee Joon Kim

  • Pharmacist
  • La, CA
  • NPI 1710236377
  NPD (past)
• Soon Sea Woo

  • Pharmacist
  • La, CA
  • NPI 1639428162
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1992716484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-738-6970",
            "fax_number": "213-738-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-738-6970",
            "fax_number": "213-738-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&A RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYOMIN",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-738-6970"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992716484",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY60424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koryo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.